Hospital Address
16th Milestone, Chakrata Road, Dehradun, Uttarakhand, 248008, Dehra Dun, India, Uttarakhand
Phone Number
+91 75052 09117
Email Address
sachinarora7777@gmail.com
Dr. Sachin Arora, Consultant Gastrointestinal Surgeon in Dehradun.
16th Milestone, Chakrata Road, Dehradun, Uttarakhand, 248008, Dehra Dun, India, Uttarakhand
+91 75052 09117
sachinarora7777@gmail.com
Dr. Sachin Arora, a distinguished Gastrointestinal Surgeon based in Dehradun, specializes in the treatment of corrosive esophageal stricture, a challenging condition often resulting from ingestion of caustic substances. With extensive experience in advanced surgical techniques, Dr. Arora provides critical interventions that restore esophageal function and significantly improve patients’ quality of life. His approach to surgery for corrosive esophageal strictures includes meticulous planning and execution of procedures such as esophagectomy or reconstructive surgery using stomach or colon grafts. Patients benefit from his compassionate care and commitment to achieving the best possible outcomes through personalized treatment plans and postoperative care.
Treatment Overview:
Surgery for corrosive esophageal stricture is a complex and specialized intervention aimed at treating strictures—narrowing of the esophagus—caused by ingestion of caustic substances. These surgeries may involve dilation, esophagectomy (partial or total removal of the esophagus), or reconstructive procedures using segments of the stomach or intestine to replace the damaged esophagus.
Benefits:
Restoration of Swallowing Function: Surgery can significantly improve the ability to swallow, allowing patients to eat and drink normally, which is crucial for nutrition and quality of life.
Prevention of Further Complications: Effective surgical treatment prevents the progression of the stricture and reduces the risk of severe complications like aspiration pneumonia or malnutrition.
Long-term Relief: While non-surgical treatments like repeated dilations may offer temporary relief, surgery provides a more permanent solution to severe strictures.
Risks:
Surgical Complications: These may include infections, bleeding, or complications from anesthesia. There’s also a risk of leakage at the surgical site where the esophagus is reconnected to other digestive tract parts.
Graft Failure: In surgeries involving reconstruction, there’s a risk of failure of the graft (part of the stomach or intestine used to replace the esophagus) which can lead to serious complications.
Nutritional Challenges: Post-surgery, patients may face difficulties in eating and require adjustments in their diet or supplementary nutrition until they fully recover.
Recovery:
Hospital Stay: Recovery typically begins with a hospital stay, where patients receive pain management and are monitored for any immediate postoperative complications.
Gradual Diet Reintroduction: Patients usually start with liquid diets, gradually moving to soft foods as they recover.
Ongoing Monitoring: Long-term follow-up is crucial to monitor the success of the surgery and manage any late complications. This may include regular check-ups, imaging studies, and possibly further interventions if complications arise.
Rehabilitation: Patients might also need speech and swallowing therapy to adjust to changes in the esophagus and ensure safe swallowing techniques.
A corrosive esophageal stricture is a narrowing of the esophagus that occurs after an injury caused by swallowing caustic substances, such as strong acids or alkalis. This leads to scarring and narrowing (stricture) of the esophagus, making it difficult to swallow food and liquids.
Surgery is considered when the stricture is too tight, long, or resistant to other treatments like dilation. It’s also indicated when there are repeated failures of less invasive treatments or complications such as recurrent aspiration, significant malnutrition due to the inability to eat, or the development of a fistula.
The types of surgeries can include esophageal dilation (stretching of the esophagus using balloons or dilators), esophagectomy (removal of part or all of the esophagus), and esophageal reconstruction or replacement using parts of the colon or stomach.
Risks include infection, bleeding, leakage from surgical connections, anesthesia complications, and risks specific to the type of reconstruction, such as graft failure or complications in the organ used for reconstruction (like the stomach or colon).
The primary benefit is improved ability to swallow, which enhances nutrition and quality of life. Surgery can also reduce the risk of further esophageal damage and complications associated with long-term use of feeding tubes.
Recovery involves a significant hospital stay where nutrition is managed via IV or a feeding tube until the esophagus heals. Patients will undergo gradual reintroduction to oral intake, require pain management, and may need speech and swallowing therapy to adapt to anatomical changes. Long-term follow-up is necessary to monitor for complications or the need for additional interventions.